41528 CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Tract No ----- Kot N.2..-2-___ - - -
Date._..__—.--... 10!�. Permit No. ----------
Application is hereby made fo41" a permit
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a----.../-----story, Type -------------------- Building
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Use Zone Aelt_l
at ncy ...._.I----- ------
to be occupied only as --------------------- P pace ....... ......
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $1'1�5............. .. . .......
It is hereby agreed that the requirements of the San J os a Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with. i this permit is issued I shall not employ any par-
soncertify that in the performance of the work for which
son in any manner so as to
'
olate the/ m,pensatio
n la
ws of California.
womnAddres ......... .... ------- -.-.-.-.-.
c."tr
BYAg.Ot . .. - - Address --- - -- - - - .............
- ..
Form 280-1
RECORD OF INSPECTION
Foundation 2 3 -Z
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.. . ....... .. .... -------- Frame
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Stucco .----- _ ----- - . ..... —------- --------- ---- wish ------------